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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> , Ad�ress: Permit No.: �-lJ�7 - W�7� <br /> Description of work: , �� Date Rec'd: ��' �'�7 <br /> Septic review by: ��l/Vv� T' WC�lil/ Date Approved: --' <br /> Zoning review by: Date Approved: � �� � <br /> Building review by: Date Approved: l <br /> Grading review by: �-'" Date Approved: <br /> Zoning District: `— Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area:21��J� Z.. F AC Width: Structural Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? �s Landscaper: �,_ V) � No/ None proposed <br /> Pro osed Setbacks: <br /> Front(L e) Rear(S et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildinq Heiaht Analysis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roof'` See "buildin hei ht" definition � <br /> First Floor Elevation from bui ' lans : (b) <br /> Highest Existing grou evel (per survey) or 10' ��� <br /> above lowest ro level, whichever is lower: � <br /> Difference b een b and c : (d) - �! <br /> � <br /> -Def' ed Buildin Hei ht a) - (d : <br /> I wl��. r <br /> Shoreland District MCWD Permit �� /l uff <br /> l.�v <br /> Yes � No Permit Number: X )�ii � � <br /> 1 <br /> 0 N/A-see attached <br /> Stormwater Quality Existing Propc <br /> Overlay District Tier Hardcover Hardc uired <br /> circle one % and s % an� <br /> 2 I.�l0 24 47 0 <br /> 1 O 3 4 5 5 5S <br /> Q� � ��� 1 <br /> la�- �� � 7�7 Z; 25°7;� r� <br /> Updated: October 2016 <br /> v:\forms\plan review checklist 10-2016.docx <br />